Please answer every question with one response that most closely describes your condition within the past week. If the activity in question is limited by something other than your foot or ankle, mark N/A

No difficulty at all

Slight difficulty

Moderate difficulty

Extreme difficulty

Unable to do

1.

Running

2.

Jumping

3.

Landing

4.

Squatting and stopping quickly

5.

Cutting, lateral movements

6.

Low-impact activities

7.

Ability to perform activity with your normal technique

8.

Ability to participate in your desired sport as long as you would like

Thank you very much for completing all the questions in this questionnaire.

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